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Edgar V. Lerma 🇵🇭 Profile picture
Edgar V. Lerma 🇵🇭
@edgarvlermamd
Chicago Sports Fan... Nephrologist by day. My tweets are not medical advice. The views expressed here are my own and not those of my employer.

Aug 18, 2019, 11 tweets

Hemodialysis 101: Anticoagulation
📌 Factors favoring clotting of the extracorporeal circuit
#Nephpearls #DialysisDirector

Hemodialysis 101: Anticoagulation
📌 Signs of clotting in the extracorporeal circuit
#Nephpearls #DialysisDirector

Anticoagulation options for intermittent hemodialysis ca. 2011 from @NatRevNeph #Nephpearls #DialysisDirector
👉🏼 nature.com/articles/nrnep…

Indications for Heparin free dialysis
🎨 Artwork by @medcomic
#Nephpearls #DialysisDirector

Coagulation Cascade
#Nephpearls #DialysisDirector

Heparin anticoagulation protocols with HD
📌 Routine Heparin, constant infusion
📌 Routine Heparin, single dose only or repeated bolus method
#Nephpearls #DialysisDirector

Periodic saline rinse controversy⁉️
📌 May actually promote clotting via introduction of microbubbles into the circuit
📌 Believed by some to ⬇️ the propensity for dialyzer clotting or interfere with clot formation
#Nephpearls #DialysisDirector
👉🏼 academic.oup.com/ndt/article/21…

Dialyzer Visual 👀 Clotting Scale
#Nephpearls #DialysisDirector

Generation of thrombin via activation of leukocytes and platelets in the extracorporeal circuit
#Nephpearls #DialysisDirector
👉🏼 nature.com/articles/nrnep…

Anticoagulation free protocol for inpatient hemodialysis from @NephRodby @Rush_Nephrology #Nephpearls #DialysisDirector

🙏🏼 @brzoskos for sharing

👉🏼 ncbi.nlm.nih.gov/pmc/articles/P…

Safety and Efficacy of Tinzaparin Anticoagulation during Nocturnal Hemodialysis ca. 2019 from @AmJNephrol #Nephpearls
👉🏼 karger.com/Article/Abstra…

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